Initiated by: | ☐ | Owner | ☐ | PMC | ☐ | Contractor | ☐ | Others |
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Project # |
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Variation Order Number : |
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Job NO: |
| Contract Date : |
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You are directed to make the following changes in this contract: |
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The original Contract Price was |
| SR |
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Net change by previous Variation Orders |
| SR |
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Contract Price prior to this Variation was |
| SR |
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The Contract Price will be (increased) (decreased) (Unchanged) by this Variation Order |
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| SR |
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The new Contract price including this Variation Order will be |
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The Contract Time will be (increased) (decreased) by |
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PMC |
| Contractor |
| Owner |
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Address: |
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| Address: |
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| Address: |
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Signature: |
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| Signature: |
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| Signature: |
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Name: |
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| Name: |
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| Name: |
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Date: |
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| Date: |
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| Date: |
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